Speech & Language

Communication Milestones: A Parent and Caregiver's Complete Guide

Last Updated: 2/1/202412 min

Understanding Communication Development

Every individual's communication journey is unique. This guide provides general milestones to help you understand what to look for—not a checklist to induce anxiety. Remember that development happens on a spectrum, and many factors influence a child's timeline.

Birth to 6 Months

What You Might See

  • Crying to communicate needs
  • Cooing and making vowel sounds (ah, eh, oh)
  • Smiling in response to your smile
  • Looking at faces with interest
  • Startling to loud sounds
  • Calming to familiar voices
  • Beginning to babble with consonant sounds (ba, da)

How to Support Development

  • Talk to your baby during daily routines
  • Respond to their sounds as if they're talking to you
  • Sing songs and read books
  • Make eye contact during feeding and diaper changes
  • Narrate what you're doing throughout the day

6 to 12 Months

What You Might See

  • Babbling with variety (bababa, mamama)
  • Responding to their name
  • Understanding "no" and simple phrases
  • Using gestures (waving, reaching, pointing)
  • Imitating sounds and actions
  • Showing you things by pointing
  • First words may emerge around 12 months

How to Support Development

  • Play peek-a-boo and other interactive games
  • Point to and name objects
  • Read simple books together
  • Respond enthusiastically to their communication attempts
  • Limit screen time

12 to 18 Months

What You Might See

  • First words (mama, dada, ball, more)
  • Using 5-10 words by 18 months
  • Understanding more than they say
  • Following simple directions ("give me the ball")
  • Pointing to ask for things
  • Pointing to show you things
  • Recognizing names of familiar people and objects

How to Support Development

  • Expand on their words ("Ball! Yes, big blue ball!")
  • Offer choices ("Milk or juice?")
  • Read, read, read
  • Sing songs with actions
  • Pause and wait for them to communicate

18 to 24 Months

What You Might See

  • Vocabulary explosion (50+ words by 24 months)
  • Starting to combine two words ("more milk," "daddy go")
  • Following two-step directions
  • Pointing to body parts when named
  • Using words for many purposes (requesting, labeling, refusing)
  • Beginning to engage in pretend play

How to Support Development

  • Model two-word combinations
  • Create opportunities for communication (put favorites out of reach)
  • Talk about what you're doing
  • Ask simple questions
  • Read books with simple stories

2 to 3 Years

What You Might See

  • Speaking in 2-3 word phrases regularly
  • Vocabulary of 200+ words by age 2, 1000+ by age 3
  • Asking questions (what? where?)
  • Using pronouns (I, me, you)
  • Strangers understanding about half of what they say
  • Engaging in back-and-forth conversation
  • Telling simple stories

How to Support Development

  • Have conversations (not just giving directions)
  • Ask open-ended questions
  • Expand their sentences
  • Read books with more complex stories
  • Play pretend together

3 to 4 Years

What You Might See

  • Speaking in 4-5 word sentences
  • Telling stories with a beginning, middle, and end
  • Asking "why" questions (many, many why questions!)
  • Using past tense, though not always correctly
  • Being understood by unfamiliar listeners most of the time
  • Having conversations with peers

How to Support Development

  • Encourage storytelling
  • Play games with rules
  • Have back-and-forth conversations about their day
  • Read longer books
  • Introduce new vocabulary

4 to 5 Years

What You Might See

  • Speaking in complex sentences
  • Using grammar correctly most of the time
  • Telling detailed stories
  • Understanding most of what's said to them
  • Rhyming and playing with sounds
  • Being understood clearly by others

How to Support Development

  • Discuss abstract concepts
  • Play rhyming games
  • Talk about the past and future
  • Encourage them to explain their thinking
  • Read chapter books together

When to Reach Out

Consider connecting with a speech-language pathologist if:

  • Your child isn't babbling by 12 months
  • You don't see any words by 16 months
  • There are no two-word combinations by 24 months
  • Your child loses words or skills they previously had
  • You're concerned about how they understand language
  • Others have a hard time understanding your 3-year-old

Early support is always beneficial. Trust your instincts.

Remember

Milestones are guides, not rigid rules. Many factors affect language development, including:

  • Multilingual environments (often a temporary delay, then catch-up)
  • Gestalt language processing (different but valid pathway)
  • Temperament and personality
  • Overall development
  • Individual differences

You know your child best. If something feels off, it's always okay to ask.